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Organization

SURGEONS BEST ASSISTANT IN TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMAD MIKE MODARESI LSA (MANAGER/ OWNER)
(832) 368-2200
Entity
Organization

Contact information

Practice address
4815 JESSICA CT, SUGAR LAND, TX 77479-5444
(832) 368-2200
Mailing address
4815 JESSICA CT, SUGAR LAND, TX 77479-5444
(832) 368-2200

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00285
TX

Other

Enumeration date
02/21/2010
Last updated
04/02/2013
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